Study On Management Standard And Application Method Of Quality And Safety Of Surgery Service

Background:Surgery service has become the focus and difficulty of patient safety management and medical risk control in the world because of complicated surgery,many risk points and difficult management.World Health Organization data for 2018 shows that nearly 50%of cases of injury caused by surgery are preventable,and standardized management is an important grasp for the quality and safety of prevention and control surgery.Since the beginning of the last century,the United States has conducted the first"10 standards" to implement medical quality management and evaluation,followed by Surgical Care at the District Hospital of World Health Organization,Joint Commission International Accreditation Standards for Hospitals of USA,National Institute for health and care Excellence of UK,Perioperative Care of Kooperation fur Transparenz und Qualitat im Gesundheitswesen of Germany have been introduced.Either at the national level or the industry level is still lack of systematic,perfect surgical quality and safety management standards currently in our country.Based on the standard provisions of the information process monitoring,application effect evaluation,continuous improvement and other application management,is still in the research and exploration stage.In 2018,the Chinese Hospital Association organized a group standard framework and system table of "Chinese Hospital quality and safety management",which was composed of 4 parts and 62 fascicles,and organized the corresponding branches of the association and large general hospitals to compile the standard fascicles.This study is one of the "surgical Quality and safety management" standard fascicle of the preparation and management of the application of research.Content:At first,to research "Surgical quality and safety management" group standard content compilation.Then,to research the standard in the surgery of the whole process of management application technology and methods.Objective:1.Around the common problem of quality and safetyin the course of surgery,this paper studies and compiles the standard of "surgical quality and safety management"which meets the daily management needs of medical institutions at all levels,and establishes the standardized management system of the whole process from preoperative,intraoperative and postoperative surgery.2.According to the standard clauses,this paper studies the technical methods of establishing the process monitoring,result tracking and effect evaluation of each index,and promotes the effective application of the standard system in the whole process management of surgical service.Methods:1.Based on literature analysis,risk case analysis,adverse event analysis,etc.,combing the quality and safety of surgery.2.The application of Delphi,Questionnaire and field interview,the development of "surgical quality and safety management"standards,including the standard framework,key elements,factor specification,etc.3.The application of His,Data and Statistical Analysis methods,the implementation of standard application effect evaluation.Results:1.The standard of "Operation Quality and safety management" has been compiled and issued as the group Standard of Chinese Hospital Association.2.Based on practical work,the application monitoring of surgical service standard is carried out by means of informationization,adverse incident report and special inspection,and expert key medical record examination.3.The application of surgical service standard has led to improvements in quality and safety issues,such as improved effectiveness in quality and safety issues such as delayed or cancelled surgical rates,the incidence of postoperative complications,unplanned return hospitalization rates,unplanned re-occupancy monitoring rates,mortality rates,and automatic discharge rates.Conclusion:1.The standard of surgical service grasps the management attribute of the group standard of Hospital quality and safety management of Chinese Hospital Association,which is the basis of the safety management of hospital surgical service.2.The standard of surgical service grasps the quality and safety problems of common,high incidence and high risk in the course of diagnosis and treatment of surgical service,it is paid more and more attention by all kinds of hospitals at all levels.3.The standard of surgical service grasps the standard preparation with the government and industry issued by the current surgical services related systems,standard as a scientific basis,can effectively promote the application of standard;4.The standard of surgical service grasps the key elements of clinical practice of surgical services,strong maneuverability,can be measured in clinical applications,can be evaluated;5.The standard of surgical service grasps the standard application evaluation of many ways,many aspects,effective proof of the standard application effect.